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EVERETT <br />WASHINGTON <br />PERMIT APPLICATIO <br />BUILDINAECHANICAL / PLUMBING / SIGN�RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:1802 75th St <br />PROPERTY TAX #:00392200000300 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Snohomish County PUD TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: sTREET1802 75th St <br />cIn Everett STATE WA zip 98206 <br />OWNER PHONE: 4257838452 <br />1OWNER EMAIL: kklee@snopud.com <br />CONTRACTORNAME:Will be done in-house by our Facilities Maintenance Department <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Kim Lee <br />CONTACT PHONE:425-783-8452 <br />CONTACT EMAIL:kklee@snopud.com <br />BUILDING INFORMATION <br />Existing Use of Building:Warehouse/office <br />Contract Price of Work: $4-C 006_ 1 <br />Proposed Use of Building: Warehouse/office <br />Heat Source: []Gas IDElectric ❑Other <br />BUILDING USE: ❑SFR [-]Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Demo existing office (walls, windows, door, ceiling grid, lights, sprinkler head) and re -build new office <br />(walls, windows, door, ceiling grid, lights, sprinkler head) <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />NUMBING PERMIT <br />APPLICATION <br />Fixture <br />Cou <br />List of Fixtures <br />Fixture <br />Count <br />fist of Fi � $ <br />ixture <br />Count <br />List of "lures <br />Fixture <br />Count <br />L t of Fixtures <br />A/C - Air Handling Units <br />Gas„ i' 'q <br />Backflow Preventer (IftLde Bldg) <br />Shower, Tub, or Combo <br />Ilipiler <br />�s Range <br />Clothes Washer <br />fhk-Commercial (3-comp,prep, floor) <br />CI es Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct stem (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust ns (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Ho Type,.l}' <br />Hose Bibb <br />tk4pal <br />Exhaust Hood (., `e II) <br />Water Heater <br />Interceptor -Grease <br />Wastkpater Piping Repair <br />Exhaust Hood (Res tial) <br />Wood Stove <br />Interceptor -Sand/ <br />Water S` ", ice (behind meter) <br />Forced,{�iPSystems <br />Other: <br />Medical Gas <br />Water Valv,or Fixtures <br />Gal, (replace/Insert/Log <br />- - <br />Roof DrainB'`` <br />Water Heater <br />INI(LER / SUPPRESSIONS <br />EM <br />Se Ejector or Sump Pump <br />Other. <br />Wat uppression System <br />2;. _, " <br />No. of He ' s <br />Chemical Suppression System <br />"j <br />No. of He <br />ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Agent Signature <br />10/16/2020 <br />Date <br />City of Everett Official Use Only <br />PKU �� - W I <br />(Revised 10/10/2018) IT,) <br />